The nurse is providing multiple medications to a patient whose spouse brings him grapefruit juice every morning. This concerns the nurse, because grapefruit juice has been shown to increase levels in which classes of drugs? (Select all that apply.)
a. Calcium channel blockers
b. Selective serotonin reuptake inhibitors
c. Aminoglycosides
d. Beta blockers
ANS: A, B
Calcium channel blockers and selective serotonin reuptake inhibitors have been shown to reach increased and/or toxic levels when taken with grapefruit juice.
Aminoglycosides and beta blockers are not contraindicated with grapefruit juice.
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The nurse calculates the body mass index (BMI) of a man who is 6 feet tall (1.8 meters) and weighs 150 pounds (68.1 kilograms) to be:
a. 21.0. b. 34.8. c. 43.1. d. 66.3.
When a woman is planning pregnancy, what is her window around ovulation to have intercourse?
A) Two days before to one day after ovulation B) One day before ovulation to two days after ovulation C) Three days before or the day of ovulation D) Three days before to two days after ovulation
Which setting is the most highly controlled setting?
a. A nursing home unit b. A research sleep lab c. A school-based clinic d. An intensive care unit
The nurse prepares to administer a dose of procaine penicillin. The prescription reads, "1.2 million units IV q6h." What is the best nursing action in this scenario?
1. Administer the drug as prescribed, but infuse it slowly. 2. Administer the drug once and notify the physician that this dose does not need to be repeated. 3. Hold the drug and notify the physician that this agent cannot be administered IV. 4. Hold the drug and notify the physician that the dose is excessive.